Van Winkle, Sharon E

MAMA / ❑DREDGE & FILL 62220 C,
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources 1 / 61 U
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC J ! r
_.. _2Rules attached.
Applicant Namev ..i`C t�''"' r'� �` ''" Project Location: County
Address` Street Address/ State Road/ Lot #(s)
/ �-- —
iCity l' f State ! ZIP ' L?% 7 t 5 (� "_ /"t r /41. �'..
{�
Phone # O' ! Fax #, ) Subdivision
"' ._� _ �.. . f ( .
,Authorized ed Agent �` � City � � ZIP ,✓
Affected 4�itvv 'zEW-Tn*PTA El ES ❑PTS Phone # ( ) River Basin t (C
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body ' &—e sor. I J a man unkn
❑ PWS: ❑FC:
ORW: ( yes no PNA yes Vh—o� Crit.Hab. yes / no Closest Maj. Wtr. Body. �' t^• ut ^
Type of Project/ Activity V W G r do c (- I �L • X /z ` 191"M116" -,
Pier (dock) length
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
iShoreline Length
`.SAV: not sure
yes
n
Sandbags: not sure
yes
no '
Moratorium: n/a
yes
Photos:
Waiver Attached:,yes,
yes'
no
A building permit may be required by.,
Notes/ Special Conditions
(Scale: 3 V )
See note on back regarding River Basin rules.
i
J ' � ,t c/t
11 4/ ! f ' + 1100 C C1'd 1l r. Iti3 C 100(t

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
Other:
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to S,4f &) C, VA-- J Ui/ &)kL.E,' 's
(Name of Property Owner)
property located at
.-5�7a
(Lot, Block, koad, etc.)
_SK N c- /
onin 67,C ALA �e , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #�G�91 �- SZ V''7061lailing Address: %�2'/S- /*6 /6�S �
6-La 1 A) C.. --2-7G / 7
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift /boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR WING OF PROPOSED DEVELOPMENT:
(To be filled ' by individual proposing development)
rnot'�•� pee , 011
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,,dam
(Information for Property Owner Applying
for Permit)
(Riparian Property Owner Information)
Ave . � ,��.�.co�
Mailing Address Signature
City/State Zip Print or Type Name
Telephone Number
UCH'
Signature Date
Telephone Number
5? O tr66te-,r. !1 /->V-rile Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIE,R/MOORING PILINGSBOATLIFTBOATHOUSE,)
I hereby certify that I own property adjacent to _"51IAt�, E A,/ a111/4L6 's
(Name of Property Owner)
property located at .6_/5Z 67E,Q4tQ -Di Eir»Q,*L-D __ ice; AJC-_
(Street Address, Lot, Block, Road, etc.)
on d , in E_M6R4 t-p --rS , N.C.
aterbody) (Town and/or County)
He/she Has described to me, as shown.below, the development he/she is proposing at that
'location and I have.• no objections to this • proposal. I understand, that. a -pier/mooring
pilings/boatlift/boathouse must be set back a minimum distancrr. of fifteen feet (15') from my area of
riparian access unless waived by me. I have indicated my intentions by initialing below:
I do -not agree to waive the 15' *setback requirement.
(initials) ,.
J I do agree to waive the 15' setback requirement.
initials) •
-------------------------------------------------------=----------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
67A/elL eL� .
• (r"11
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��' a7� i Print or T e Name
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Date:
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Davenport, Ryan
From: sharon van winkle [[e-mail]]
Sent: Tuesday, May 28, 2013 11:09 AM
To: Davenport, Ryan
Subject: 512 Emerald Dr.
I am the property owner of 512 Emerald Dr., Emerald Isle, N.C. and my name is Sharon E. Van Winkle.
I authorize Bobby Bright to do the work on putting in a dock on my property at the above location.
Thank you, Sharon E. Van Winkle